Medical Coding
610 open positions
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Clinical Documentation Specialist↗ St. Charles Health SystemBend, OR, US $96k–$96k1mo Review and analyze patient medical records to ensure accurate capture of clinical conditions, severity of illness, and risk of mortality; clarify documentation with providers to support quality indicators and compliance.
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Mkt Manager Revenue Cycle Inpatient Coding-TX↗ CommonSpirit HealthChicago, IL, US $0k–$0k1mo Oversees inpatient coding teams to ensure adherence to compliant coding practices, regulatory requirements, and enterprise KPIs including DNFC.
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Inpatient Coder↗ Kaiser PermanenteSan Francisco, CA, US 1mo Accurately codes and abstracts inpatient, observation, ambulatory surgery, ED, and complex outpatient visit cases from medical records to determine diagnoses, procedures, and DRGs.
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Inpatient Coding Specialist I (Remote)↗ Stanford Health CareRemote 1mo Review medical record documentation to accurately assign ICD-10-CM/PCS codes, MS-DRG, and APR-DRG for inpatient accounts in compliance with federal and state regulations.
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Healthcare Advocate (New Grad / Early Career Talent) GrantedRemote - Continental US 1mo Resolve complex medical billing and insurance cases end-to-end, advocating for users to correct errors, negotiate bills, and navigate the healthcare system.
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Senior Medical Billing Specialist HirehangarRemote 1mo Senior Medical Billing Specialist responsible for claims submission, denial management, and clinical documentation validation to ensure accurate reimbursement for Rooted Life's revenue cycle.
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MRA Researcher↗ Premier Medical AssoicatesRemote 1mo Review medical records to identify and validate accurate diagnoses for Medicare Risk Adjustment (MRA) and HCC coding, ensuring compliance with CMS guidelines.
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Manager, RCM Coding ModmedHyderabad, India 1mo Lead, empower, and scale Center of Excellence (COE) coding operations for multi-specialty practices, ensuring coding accuracy, compliance, and revenue cycle success.
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Revenue Integrity Chargemaster Analyst↗ Ann & Robert H. Lurie Children's Hospital of ChicagoStreeterville, IL, US $66k–$66k1mo Maintains the integrity of the revenue capture system by overseeing the chargemaster (CDM), conducting prospective audits of patient charts, and ensuring billing accuracy and compliance.
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Claims Auditor CoherehealthRemote 1mo Conduct comprehensive professional and facility coding reviews for outpatient and inpatient claims to ensure accurate code assignment, DRG/reimbursement, and maximize overpayment identification.
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Clinical Documentation Improvement Specialist↗ The MetroHealth SystemCleveland, OH, US 1mo Ensures accurate, complete, and compliant clinical documentation in medical records to support MS/APR DRG assignment, severity-of-illness, and risk-of-mortality capture per CMS rules.
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Billing Specialist↗ HCA HealthcareKaysville, UT, US 1mo Accurately billing diagnosis and procedures from medical records, submitting claims to third-party payers, and managing credit balances for a surgery center.
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Quality Analyst - Profee Multispecialty Surgery↗ Guidehouse India Pvt LtdTN, IN 1mo Lead quality assurance for medical coding operations, ensuring accurate diagnosis and procedure code assignment (ICD-9-CM, CPT-4) and optimal reimbursement for hospital and professional charges.
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Concept Development Analyst ZelisIndia Hyderabad 1mo Develop and maintain clinical content for editing physician and facility claims, ensuring compliance with medical coding standards and regulations.
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Cert Professional Coder BHS↗ Beacon Health SystemGranger, IN, US 1mo Reviews and codes patient medical records to abstract data and assign DRGs/APCs for Medicare, Medicaid, and other payors.
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Registered Nurse Quality Assurance - RN QA↗ Muir Home HealthLos Angeles, CA, US $75k–$75k1mo Acts as an OASIS review nurse to analyze data integrity, consistency, and compliance of home health documentation and assessment processes.
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Coding Integrity Specialist R1rcmRemote, USA $0k–$0k1mo Conduct complex coding reviews and quality assurance for inpatient medical records to ensure accurate reimbursement, public reporting, and value-based payment compliance.
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Medical Director - PI, Claims HumanaRemote Nationwide 2mo Medical Director reviews health claims and makes determinations on service authorization, level of care, and site of service for Medicare/Medicare Advantage populations.
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Lead Medical Records Technician (Coder)↗ Us Indian Health ServicePawnee, OK, US 2mo Coordinate and perform technical medical record functions including coding, reimbursement, and physician support at an Indian Health Center.
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Government Programs Compliance Lead BcbsaUS IL Chicago E. Randolph $114k–$154k2mo Senior subject matter expert supporting the Medicare Compliance Officer to operationalize and enhance the compliance program for Medicare Advantage (Part C) and Part D operations, ensuring alignment with CMS requirements.
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Medical Management Nurse - Florida ElevancehealthRemote 2mo Review complex medical cases to determine medical necessity of requested services using nursing judgment and critical thinking.
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Intake & Authorizations Specialist↗ Trusted Ally Home CareRemote 2mo Initiates intake processes, validates referrals for EEOICPA eligibility, prepares authorization documentation, and supports Letters of Medical Necessity (LOMN) drafting for home care patients.
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Sr. Quality of Care Review Nurse OscarRemote $84k–$84k2mo Analyze clinical data, review patient records, and conduct root cause analyses to improve provider standard of care and patient safety.
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Merit-Based Incentive Payment System (MIPS) Analyst, Remote EcpcareersRemote 2mo Bridge between ophthalmic practices and leadership to manage the Quality Payment Program (QPP) Merit-Based Incentive Payment System (MIPS) submission process.
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General Manager - Medical Coding HuronBangalore India - South 3rd Floor 2mo Manage hospital and professional medical coding operations, including ICD/CPT code assignment, case abstracting, charge capture, and billing edit work queues.
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Managed Care Delegation Specialist SsmhMO-REMOTE 2mo Ensures providers are credentialed and enrolled in insurance plans, manages delegated credentialing processes, and assists in contracting with managed care plans.
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Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) UscRemote $100k–$100k2mo Ensures Chargemaster (CDM) consistency with coding/billing regulations, synchronizes data between billing systems and management tools, and leads charge capture improvement initiatives for a multi-entity medical center.
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Licensed Physician Reviewer- Neurology - PRN (REMOTE) ChenmedRemote $205k–$205k2mo Licensed physician reviewer for Utilization Management (UM) cases in Neurology, covering assigned territories and coordinating care.
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Risk Adjustment Quality Specialist LmhLawrence, KS 2mo Coordinate and support prospective, concurrent, and retrospective reviews to assist with patient care management and validate medical record data for HCC coding.
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Multi-Specialty Profee and/or Facility Medical Coder SutherlandAtlanta, GA, us 2mo Analyze complex medical records to identify and accurately bill for services using ICD-10 and CPT/HCPCS codes, ensuring compliance with third-party payor requirements.
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Medical Biller w/ California Insurance Experience (Bilingual Spanish - English) Berry VirtualRemote 2mo Full-cycle medical billing specialist handling claims, payments, and denials for California healthcare providers.
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Field Reimbursement Manager-Ophthalmology – Minnesota, Wisconsin RegeneronRemote $166k–$166k2mo Front-line manager supporting physician offices throughout the reimbursement cycle to ensure patient access and resolve billing/coding issues.
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PI Medical Coding Reviewer II (CPC/RHIT/RHIA required) CareSourceRemote $55k–$55k2mo Review medical records for audit activities, dispute support, and claim reviews for provider pre-payment and post-payment functions.
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HIM Coder - Hospital Coding Services - PRN StormontvailRemote 2mo Reviews medical record documentation to assign accurate ICD-10-CM diagnosis, procedure, and CPT codes for hospital services, including dual/single path coding.
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Outpatient Coder II UmmhWorcester, MA Worcester Business Center 2mo Interprets clinical and diagnostic documentation to process hospital and pro-fee charges for outpatient care episodes, assigning ICD-CM, CPT, and ICD-PCS codes.
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Senior Trauma Registrar - Trauma Program - Days VcuhealthRichmond, VA 2mo Maintains a unique trauma registry database by identifying cases, abstracting data from electronic medical records and prehospital sources, and assigning ICD-10 diagnosis codes and Abbreviated Injury (AIS) Scores to support Level 1 Trauma Center verification.
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Physician, Inpatient Denials Management (FT/M-F/REMOTE)↗ CorrohealthRemote $225k–$225k2mo Evaluate hospitalizations across the country to establish appropriate admission status and ensure compliance for payment.
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Physician Advisor - Jefferson Health↗ Jefferson HealthPhiladelphia, PA 2mo Provides consultation on level of care, utilization of resources, discharge issues, and payment denials to improve care efficiency and transitions.
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Senior Billing Compliance Analyst SaintfrancisRemote - OK 2mo Senior Billing Compliance Analyst providing advanced support to the health system's billing compliance program by performing complex audits, leading data analytics activities, and guiding prevention and monitoring strategies.
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